Healthcare Provider Details

I. General information

NPI: 1376003624
Provider Name (Legal Business Name): NICHOLAS O'BRIEN KUHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 MARKET ST 7TH FLOOR SUITE 741
PHILADELPHIA PA
19104-5502
US

IV. Provider business mailing address

3701 MARKET ST 7TH FLOOR SUITE 741
PHILADELPHIA PA
19104-5502
US

V. Phone/Fax

Practice location:
  • Phone: 215-349-5200
  • Fax: 215-615-0038
Mailing address:
  • Phone: 215-349-5200
  • Fax: 215-615-0038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD474911
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: